Incidental left main bronchus obstruction during left-sided double-lumen tube intubation of a patient with an unrecognized tracheal bronchus
| Autor: | Hyung Youn Gong, Mun Gyu Kim, Hyoung June Kim, Ho Bum Cho, Sang Ho Kim |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment tracheal bronchus Population Bronchi Peak inspiratory pressure double lumen tube 03 medical and health sciences 0302 clinical medicine Bronchoscopy 030202 anesthesiology Intubation Intratracheal medicine Humans Intubation fiberoptic bronchoscopy Clinical Case Report education education.field_of_study Bronchus medicine.diagnostic_test business.industry General Medicine Auscultation respiratory system respiratory tract diseases Airway Obstruction Trachea medicine.anatomical_structure 030228 respiratory system Right Main Bronchus Cuff Radiology Tomography X-Ray Computed business Research Article |
| Zdroj: | Medicine |
| ISSN: | 0025-7974 |
| Popis: | Introduction: Tracheal bronchus is a right-sided anomalous bronchus arising from the trachea above the main carina and occurs in 0.1% to 2% of the general population. Case presentation: We present a case of left main bronchus obstruction during a left-sided double-lumen tube intubation in a patient with an unrecognized tracheal bronchus. After the intubation, to confirm the position of the tube, we observed what we believed was the carina with a fiberoptic bronchoscope, but it was a site between the tracheal bronchus and the right main bronchus. Thus, a right-sided intubation was performed, and the left main bronchus was obstructed with a bronchial cuff. As a result of the inappropriate ventilation, peak inspiratory pressure was elevated and arterial oxygen saturation decreased. Conclusion: Anesthesiologists should keep in mind the possibility of anatomical variation in the large airways, and bronchoscopy should be accompanied by cautious auscultation and confirmation of the division of the bronchus. |
| Databáze: | OpenAIRE |
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